Early fixation of the flail chest: case report
Brandon S Aparicio-Blanco1, Rodolfo Barrios-Del Río1, Luis F Cabrera1
1Departamento de Cirugía General, Universidad El Bosque, Bogotá, Colombia.
Antecedentes:
En 1926, Jones y Richardson describen por primera vez el tórax inestable. Desde entonces existe gran controversia sobre el manejo conservador comparado con el manejo quirúrgico.
Objetivo:
Dar a conocer los beneficios, las indicaciones y las contraindicaciones de la fijación temprana de fracturas costales en el tórax inestable.
ConclusióN:
La reducción abierta y la fijación temprana de fracturas costales en pacientes con tórax inestable ha demostrado ser un método útil, efectivo y seguro.
Background:
In 1926, Jones and Richardson described flail chest for the first time. Since then, exist great controversy about conservative vs surgical approach.
Objective:
Define the benefits, indications and contraindications of the early fixation of rib fractures in flail chest.
Conclusion:
The open reduction and early fixation of rib fractures for patients with flail chest has proven to be a useful, effective and safe method.
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Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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